A lactation consult usually takes around 1.5 to 2 hours and includes some or all of the following:
Review of your and your baby’s medical history as it relates to breastfeeding.
Observation of a breastfeeding session.
Weighing the baby before and after feeding to assess milk transfer.
Demonstration and practice of techniques to help any aspect of breastfeeding that may need improvement (such as latch, milk transfer, pain, etc.)
Assessment of your baby’s mouth, tongue, and oral motor function.
Visual and/or physical assessment of your breasts and nipples.
Observation of a pumping session and assessment of how well your pump parts fit your anatomy.
Discussion of how much and what method to use in giving supplemental nutrition to your baby, if indicated.
Instruction in the use of any breastfeeding accessories you may already be using or that I may recommend to assist with breastfeeding.
Healing and/or prevention measures for sore nipples or breasts.
Development of a care plan to help you implement the steps you and I have agreed may improve the aspects of breastfeeding that are not currently satisfactory for you.
Referral to other healthcare professionals to evaluate issues beyond my scope of practice, if necessary.